A Nurse Is Reviewing the Laboratory Results of a Client Who Is Postoperative
This Fluids and Electrolytes exercise examination aims to help nurses refresh knowledge on normal values of electrolytes, implications for care, and management of patients with alterations in fluid and electrolyte residue. Included in this practice exam are multiple-choice and innovative response questions.
Read each item carefully, analyzing what is asked from the question, and choose the best response/responses from the options provided. Note the time it takes for you to complete this test, simulating how the NCLEX-RN and other examinations are given.
Try to answer each question in 1 infinitesimal. Right answers and rationale are provided at the end of the test.
1. The nurse is caring for a client with heart failure. On assessment, the nurse notes that the client is dyspneic, and crackles are audible on auscultation. What additional manifestations would the nurse expect to annotation in this client if backlog fluid book is present?
A. Weight loss and dry pare
B. Flat cervix and manus veins and decreased urinary output
C. An increment in blood force per unit area and increased respirations
D. Weakness and decreased central venous pressure (CVP)
two. The nurse is preparing to care for a client with a potassium deficit. The nurse reviews the client'south record and determines that the client is at risk for developing the potassium arrears because of which situation?
A. Sustained tissue damage
B. Requires nasogastric suction
C. Has a history of Addison's illness
D. Uric acid level of 9.four mg/dL (559 μmol/50)
3. Potassium chloride intravenously is prescribed for a client with hypokalemia. Which actions should the nurse have to program for the preparation and assistants of the potassium? Select all that apply.
A. Obtain an intravenous (4) infusion pump.
B. Monitor urine output during administration.
C. Ready the medication for bolus administration.
D. Monitor the IV site for signs of infiltration or phlebitis.
Due east.. Ensure that the medication is diluted in the appropriate volume of fluid.
F. Ensure that the bag is labeled and so that information technology reads the book of potassium in the solution.
4. The nurse reviews laboratory results and notes that a client's serum sodium level is 150 mEq/L (150 mmol/Fifty). The nurse reports the serum sodium level to the wellness care provider (HCP) and the HCP prescribes dietary instructions based on the sodium level. Which acceptable food items does the nurse instruct the client to consume? Select all that apply.
A. Peas
B. Nuts
C. Cheese
D. Cauliflower
E. Candy oat cereals
5. The nurse is assessing a customer with a suspected diagnosis of hypocalcemia. Which clinical manifestation would the nurse expect to note in the customer?
A. Twitching
B. Hypoactive bowel sounds
C. Negative Trousseau's sign
D. Hypoactive deep tendon reflexes
6. Which client is at gamble of developing a sodium level at 130 mEq/Fifty (130 mmol/L)?
A. The customer who is taking diuretics
B. The customer with hyperaldosteronism
C. The client with Cushing's syndrome
D. The customer who is taking corticosteroids
7. The nurse is caring for a client with heart failure who receives high doses of a diuretic. On assessment, the nurse notes that the client has flat neck veins, generalized muscle weakness, and diminished deep tendon reflexes. The nurse suspects hyponatremia. What boosted signs would the nurse expect to note in a client with hyponatremia?
A. Musculus twitches
B. Decreased urinary output
C. Hyperactive bowel sounds
D. Increased specific gravity of the urine
8. The nurse reviews a client's laboratory written report and notes that the client's serum phosphorus (phosphate) level is 1.8 mg/dL (0.45 mmol/L). Which condition most likely caused this serum phosphorus level?
A. Malnutrition
B. Renal insufficiency
C. Hypoparathyroidism
D. Tumor lysis syndrome
ix. The nurse is reading a wellness intendance provider'due south (HCP'southward) progress notes in the customer'due south tape and reads that the HCP has documented "insensible fluid loss of approximately 800 mL daily." The nurse makes a notation that insensible fluid loss occurs through which type of excretion?
A. Urinary output
B. Wound drainage
C. Integumentary output
D. The gastrointestinal tract
ten. The nurse is assigned to treat a group of clients. On reviewing the clients' medical records, the nurse determines which client is most likely at risk for a fluid volume deficit?
A. A client with an ileostomy
B. A client with heart failure
C. A client on long-term corticosteroid therapy
D. A client receiving frequent wound irrigations
11. The nurse caring for a client who has been receiving intravenous (Iv) diuretics suspects that the client is experiencing a fluid book arrears. Which assessment finding would the nurse note in a client with this condition?
A. Weight loss and poor peel turgor
B. Lung congestion and increased heart rate
C. Decreased hematocrit and increased urine output
D. Increased respiration and increased blood pressure
12. Which customer is at risk of developing a potassium level of 5.5 mEq/L (5.5 mmol/L)?
A. The client with colitis
B. The client with Cushing's syndrome
C. The client who has been overusing laxatives
D. The client who has sustained a traumatic burn down
xiii. The client receives an I.Five. infusion of 5% dextrose in normal saline running at 125 mL/hr. When hanging a new bag of fluid, the nurse notes swelling and hardness at the infusion site. The nurse should first:
A. Discontinue the infusion.
B. Utilize a warm soak to the site.
C. Stop the flow of solution temporarily.
D. Irrigate the needle with normal saline
14. A client with Addison's affliction is admitted to the medical unit of measurement. The nurse diagnoses the client with Deficient fluid volume related to inadequate fluid intake and fluid loss secondary to inadequate adrenal hormone secretion. Equally the client'due south oral intake increases, which of the following fluids would be most advisable?
A. Milk and diet soda.
B. Water and eggnog.
C. Bouillon and juice.
D. Coffee and milkshakes.
15. The customer's serum potassium level is elevated in astute renal failure, and the nurse administers sodium polystyrene sulfonate (Kayexalate). This drug acts to:
A. Increase potassium excretion from the colon.
B. Release hydrogen ions for sodium ions.
B. Increase calcium absorption in the colon.
D. Exchange sodium for potassium ions in the colon.
16. The customer with astute renal failure asks the nurse for a snack. Because the client's potassium level is elevated, which of the following snacks is almost appropriate?
A. A gelatin dessert.
B. Yogurt.
C. An orangish.
D. Peanuts.
17. The nurse assesses the customer with chronic renal failure and notes the following: crackles in the lung bases, elevated blood pressure, and weight gain of 2 lb in 1 twenty-four hour period. Based on these information, which of the following nursing diagnoses is advisable?
A. Backlog fluid volume related to the kidney's inability to maintain fluid remainder.
B. Ineffective breathing pattern related to fluid in the lungs.
C. Ineffective tissue perfusion related to interrupted arterial blood period.
D. Ineffective therapeutic regimen management related to lack of cognition about therapy
eighteen. The nurse is preparing to care for a client with a potassium deficit. The nurse reviews the customer'southward record and determines that the client was at risk for developing the potassium deficit because of which situation?
A. Sustained tissue damage
B. Requires Nasogastric suction
C. Has a history of Addison's affliction
D. Is taking a potassium-retaining diuretic
nineteen. A pt, experiencing multisystem fluid volume deficit, has the symptoms of tachycardia, pale, cool skin, & decreased urine output. The nurse realizes these findings are most likely a directly effect of which of the following?
A. the trunk's natural compensatory mechanisms
B. pharmacological effects of a diuretic
C. effects of rapidly infused intravenous fluids
D. cardiac failure
20. You are caring for a client with severe hypokalemia. The medico has ordered 4 potassium to be administered at 10 mEq/60 minutes. The client complains of burning along their vein. What should you do?
A. Modify the electrolyte.
B. Switch to an oral formulation.
C. Increase the speed of transfusion.
D. Dilute the infusion
21. A nurse is caring for a client with metastatic chest cancer who is extremely lethargic and very slow to respond to stimuli. The laboratory report indicates a serum calcium level of 12.0 mg/dl, a serum potassium level of iii.nine mEq/Fifty, a serum chloride level of 101 mEq/Fifty, and a serum sodium level of 140 mEq/L. Based on this data, the nurse determines that the client's symptoms are virtually probable associated with which electrolyte imbalance?
A. Hypocalcemia
B. Hyperkalemia
C. Hypokalemia
D. Hypercalcemia
22. A postoperative client has been placed on a articulate liquid diet. The nurse should provide the client with which items that are allowed to be consumed on this diet? Select all that apply.
A. Goop
B. Coffee
C. Gelatin
D. Pudding
Due east. Vegetable juice
F. Pureed vegetables
23. The nurse assesses a client and notes puffy eyelids, swollen ankles, and crackles at both lung bases. The nurse understands that these clinical findings are most specifically associated with fluid excess in which of the following compartments?
A. Interstitial compartment.
B. Intravascular compartment.
C. Extracellular compartment.
D. Intracellular compartment
24. An expected physiologic response to a depression potassium level is:
A. Cardiac dysrhythmias.
B. Hyperglycemia.
C. Hypertension.
D. Increased free energy.
25. The nurse monitors the serum electrolyte levels of a client who is taking digoxin (Lanoxin). Which of the following electrolyte imbalances is a mutual cause of digoxin toxicity?
A. Hyponatremia.
B. Hypomagnesemia.
C. Hypocalcemia.
D. Hypokalemia.
Answers and Rationale
Source: https://rnspeak.com/fluids-and-electrolytes-practice-test-questions/
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